Last Saturday I saw the dermatologist after consistent and annoying breakouts. The derm prescribed me Acanya for the AM and Ziana for PM.
Brief background: I'm a 32 year old Asian male. I've dealt with acne since I was a teenager. Oily skin.
Saturday PM: Shower - apply Ziana on clean/dry face (I was instructed to apply to my entire face) - apply moisturizer (Derm gave me Cerave PM). PM routine will not be repeated from hereon because it does not change.
Sunday AM: Don't feel any difference on face. Wash face - apply Acanya on clean/dry face (Again I was instructed to apply to entire face) - apply moisturizer (Derm gave me Cerave AM w/ 30spf). AM routine will not be repeated from hereon because it does not change.
Sunday PM: Notice face is less oily. Blotchy skin is diminished.
Monday AM: Notice face is slightly red from topicals. Apply Acanya with slight stinging. Face is definitely less oily than usual.
Monday PM: Skin is starting to flake more. Notice purging - bumps previously under the skin are starting to come to surface.
Tuesday AM: Skin is more flaky, stings more. Breaking out.
Tuesday PM: Status quo
Wednesday AM: Status quo
Wednesday PM: Blotchy skin has really diminished. Oil production has decreased. Skin is much smoother. Tonight I gently removed flaky skin while showering. Breakouts still visible. Bumps still under skin, purging continues.